- Prime Therapeutics (San Diego, CA)
- …passion and drives every decision we make. **Job Posting Title** Onsite Pharmacy Auditor (based in California) **Job Description** The Onsite Pharmacy Auditor ... + 2 years of work experience in audit or quality assurance + 1 year of work experience in...with all applicable legal, regulatory, and contractual requirements and internal policies and procedures. Potential pay for this position… more
- Astrix Technology (Los Angeles, CA)
- **Clinical Compliance Auditor ** Clinical Los Angeles, CA, US Pay Rate Low: 100000 | Pay Rate High: 150000 + Added - 04/04/2025 Apply for Job We're partnering with an ... biotechnology industry, and they're on the lookout for a talented **Clinical Compliance Auditor ** to join their dynamic team! If you're passionate about ensuring the… more
- Sharp HealthCare (San Diego, CA)
- …a key resource for documentation requirements for risk adjustment HCCs, RAF, and/or quality measures. Develop and build relationships with internal and external ... of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and… more
- CVS Health (Sacramento, CA)
- …each and every day. Aetna's Revenue Integrity team is hiring Senior Coding Data Quality Auditors to support our growing risk adjustment efforts. This role plays a ... home. **Position Summary** + Responsible for performing second level quality inter-rater review audits of medical records coded by... inter-rater review audits of medical records coded by internal team, as well as external vendor (if applicable)… more
- Deloitte (San Francisco, CA)
- …of our people, leading-edge technology, and a global network to deliver high- quality audits of financial statements and internal controls over financial ... Audit and Assurance Information Technology Auditor - Senior Consultant Do you thrive in...around business performance. We provide specialized audit analytics and internal control services for internal and external… more
- Deloitte (San Francisco, CA)
- …of our people, leading-edge technology, and a global network to deliver high- quality audits of financial statements and internal controls over financial ... Audit and Assurance - Information Technology Auditor - Manager Do you thrive in times...around business performance. We provide specialized audit analytics and internal control services for internal and external… more
- Highmark Health (Sacramento, CA)
- …Network **Job Description :** **GENERAL OVERVIEW:** Performs all related internal , concurrent, prospective and retrospective coding audit activities. Reviews medical ... records to determine data quality and accuracy of coding, billing and documentation related...Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician… more
- RGP (Los Angeles, CA)
- …This position offers the opportunity to lead audits, collaborate with internal teams and external delegates, and contribute to a mission-driven organization ... dedicated to accessible, high- quality care. Lead and support financial oversight activities across...business, including Medi-Cal, Covered California, D-SNP, and PASC-SEIU. The Auditor will ensure adherence to state and federal regulations… more
- Spread Your Wings, LLC. (Garden Grove, CA)
- …requirements when providing services to Intellectualy Disabled Individuals? 2. Do you have Quality Assurance background? 3. Do you have experience or are you ok with ... of the company to ensure consistent monitoring and evaluation of quality service delivery. + Understanding general office functions and administrative duties… more
- UNUM (Sacramento, CA)
- …audit activities specializing in the functional area of Advanced Analytics in Internal Audit. This position works individually and in teams with minimal direction ... principles, practices, frameworks, and methodology. + Share responsibility for completing quality audit activities in support of team performance goals and metrics.… more